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1194463778
JAKOB RODGERS
STAR, ID
NPI
1194463778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D-5406)
Enumeration Date
2022-05-24
Last Update Date
2024-09-08
Business Address
JAKOB RODGERS DDS
12190 W EVELY PINES LN
STAR, ID 83669-6126
Phone number: 208-996-3003
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Mailing Address
JAKOB RODGERS DDS
12190 W EVELY PINES LN
STAR, ID 83669-6126
Phone number: 208-996-3003
Copy
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